learning on clinical sites - a guide for students in clinical training

2016

Learning on Clinical SitesA G U I D E F O R S T U D E N T S I N C L I N I C A L T R A I N I N G

UCD School of Medicine

Dr Suzanne DonnellyDirector of Clinical Education, School of Medicine UCD Consultant Rheumatologist, MMUH

L E A R N I N G O N C L I N I C A L S I T E S

Learning on Clinical Sites . UCD School of Medicine

Dr Suzanne Donnelly

Starting out in your clinical attachments may appear a daunting prospect. This guide is designed to provide practical information to help you make the most of your clinical learning whilst ensuring the safety and dignity of the patients that you will have the privilege of meeting in our hospitals and community settings.

Your clinical education will be exciting, unpredictable, challenging and deeply rewarding. It is a great privilege to be welcomed as student doctors by patients in the Irish healthcare system. Respect that tradition, your colleagues in healthcare and the patients from whom you will learn so much-and for many years to come.

When interacting with a patient, consider how you would expect a student colleague to behave if taking a history from, or examining, one of your close family members and you will not go far wrong. However, if you are unsure, our clinical staff are here to help you through these important years.

If you need information or more importantly if you feel you need help with any aspect of clinical life as a student, please do not be afraid to make contact.

Please read this document carefully, it contains essential information for your success as a clinical student.

Director of Clinical Education, School of Medicine UCD Consultant Rheumatologist, MMUH

Mandatory Requirements for Clinical Sites .1 . P. 4

Learning on Clinical Sites . UCD School of MedicineLearning on Clinical Sites . UCD School of Medicine

Contents .00 .Contents .00 .

M A N D ATO R Y R E Q U I R E M E N T S F O R C L I N I C A L S I T E S

01 .

Entry Requirements 1

P R O F E S S I O N A L I S M O N C L I N I C A L S I T E S

C L I N I C A L S I T E E T I Q U E T T E

02 .

03 .

Medical Council Guidance 6

Clinical Site Dresscode 7

Confidentiality 8

General Guidance 10

Theatre Etiquette & Discipline 12

Universal Precautions for the Avoidance of Infection 15

G U I D I N G P R I N C I P L E S

04 .

Choice 19

Consent 19

Confidentiality 20

Practical Advice on Confidentiality 21

C L I N I C A L L E A R N I N G

05 . 23

U N I V E R S I T Y S T U D E N T S U P P O R T S E R V I C E S

06 . 29

N OT E S07 . 33

. C O N T E N T S


P. 1Mandatory Requirements for Clinical Sites .

. M A N D ATO R Y R E Q U I R E M E N T S F O R

C L I N I C A L S I T E S

01 .

Mandatory Requirements for Clinical Sites .Mandatory Requirements for Clinical Sites .

Learning on Clinical Sites . UCD School of Medicine Learning on Clinical Sites . UCD School of Medicine

P. 3P. 201 . 01 .

All Medicine students entering clinical training must have evidence of compliance with criteria 1-5.

[email protected]

YOU WILL BE ASKED TO WITHDRAW FROM CLINICAL TRAINING IF YOU ARE UNABLE TO MEET ANY OF THE 1 - 5 CRITERIA.

If you have any concerns about your compliance status for any criterion, please contact the UCD Health Science Programme Office immediately.

C O N F I D E N T I A L I T Y A G R E E M E N T

A confidentiality agreement must be signed by all students prior to entering clinical training.

I understand that during my studies at University College Dublin, I will be exposed to clinical encounters with real patients and real cases.

I understand that information relating to patient health care history, diagnosis, condition, treatment, or evaluation shall be considered individually identifiable health information and therefore should not be disclosed verbally or in writing.

I agree to respect the privacy of all patients and disclose information only when given written consent from the patient concerned.

E T H I C A L C O N D U C T

You must at all times act in accordance with the ‘Guide to Ethical Conduct and Behaviour’ issued by the Irish Medical Council, a pocket copy of which is provided at the Clinical Commencement ‘White Coat’ Ceremony.

Specific extracts from this publication are reproduced in green throughout this document. You should be familiar with its contents before entering clinical sites. Additional copies of the brochure can be downloaded from the Medical Council website.

www.medicalcouncil.ie

G A R D A V E T T I N G

All students will have submitted Garda Vetting forms or Police Clearance Certificate (if a student has lived outside of Ireland for more than 6 months) on commencing the Medicine programme. You must notify the UCD Health Science Programme Office immediately if there has been any change to this clearance.

I N F E C T I O N C O N T R O L C E R T I F I C AT I O N F O R C L I N I C A L S T U D E N T S

Prior to starting clinical attachments, students must be certified as having satisfactorily completed the Infection Control Workshop which is part of the Physical Examination and Clinical Procedures module.

H E A LT H C A R E S C R E E N I N G

All students must meet Health Screening Requirements prior to clinical training as follows:

• Vaccination against Hepatitis B and any follow up testing if necessary

• Screening for immunity for chicken pox (Varicella Zoster) and vaccination if necessary

• Screening for immunity for Measles, Mumps and Rubella and vaccination if necessary

• Screening for Tuberculosis and Hepatitis C

B L O O D B O R N E V I R U S E S (B B V )

Any student infected with a blood borne virus must be under the care of an appropriate physician in Ireland for the duration of their undergraduate studies and will be expected to participate in a long-term healthcare plan.

Students who show evidence of active infection at any stage of their medical career will be required to withdraw from patient contact, undertake treatment and demonstrate non-infectivity before re-admission to the programme.

““

1 2 3 4

5

mailto:[email protected]


P. 502 . Professionalism on Clinical Sites .

. P R O F E S S I O N A L I S M O N C L I N I C A L S I T E S


P. 7P. 602 . 02 .Professionalism on Clinical Sites . Professionalism on Clinical Sites .

C L I N I C A L S I T E D R E S S C O D E

M E D I C A L C O U N C I L G U I D A N C E

In its guidance to Medical Students, the Medical Council of Ireland states that you should:

Be aware of and respect cultural differences in dress and presentation.

Ensure that your attire (clothes, accessories and any jewellery) is suitably professional and is appropriate to the environment.

Adhere to the highest standards of personal hygiene.

Wear a name/identity badge at all times during your clinical practice.

Comply with all medical school or clinical site requirements regarding suitable clothing for the appropriate setting.

Expose your face fully to patients and their families, teachers and colleagues in the (non-surgical) hospital, primary and community environment. This is in the interests of good communication and interaction.

Your UCD Student ID badge with picture must be displayed all times at all clinical sites.

We do not publish an exhaustive list of inappropriate dress on clinical sites, however clothing and footwear should be suitable for a professional workplace setting.

Wedding bands, stud-type earrings and watches are permitted jewellery.

Hair should be tied back where it interferes with patient examination / care. Beards should be close trimmed.

If you do not present yourself suitably, you risk being denied access to clinical areas, including those where assessments and examinations take place.

Professionalism is based on respect for patients and colleagues. Inappropriate dress or failure to comply with advice given to you on this matter may be considered unprofessional behaviour.

During the Clinical Commencement White Coat Ceremony, you will be presented with a UCD crested white coat. This white coat should be worn at all times during your clinical rotations except where you are requested to remove it by a staff member or on specific wards.

For example, white coats are typically not worn in primary care or psychiatry settings. You should be clear about the dress policy of the particular site before you arrive.

If you are in doubt as to whether your attire is suitable, please ask a senior staff member on the site or the module coordinator. If you receive advice to modify your dress or presentation, you are expected to comply.

P. 802 . Professionalism on Clinical Sites .

C O N F I D E N T I A L I T Y

Remember the ABC of confidentiality: Anonymise, Bin & Care where you share information

Anonymise any notes you make about a patient in your notebooks to protect patient confidentiality

Securely dispose of any transcribed or copied information which originates/ belongs in the clinical setting in a closed bin marked “CONFIDENTIAL WASTE” before exiting the clinical site

Do not remove ANY PART of a patient record (including photocopies) from the clinical site

Completely cover patient identifying labels on images, ECGs or Xrays that you plan to use in team presentations or teaching sessions

Never take clinical photographs without the express permission of both the patient and the consultant in charge and do not take a picture which includes identifying marks, tatoos or faces

Always ensure that patient consent is obtained and properly documented

Do not discuss patients or their care in public places or online at any time

ASK if you are unsure


P. 9

. C L I N I C A L S I T E E T I Q U E T T E

03 . Clinical Site Etiquette . P. 9


P. 11P. 10 Clinical Site Etiquette .03 .03 . Clinical Site Etiquette .

G E N E R A L G U I D A N C E

Be punctual

Present yourself appropriately for a professional workplace. Comply with any advice offered on your dress or behaviour by a member of staff.

Do not smoke. Smoking is prohibited on all clinical campuses.

Observe local rules and signage. Turn off mobile phones where instructed to do so by staff.

Maintain high standards of personal hygiene at all times.

Wash your hands before and after every patient contact.

Health and Safety procedures may differ between sites. When on a clinical site local hospital rules apply. Be sure you attend all mandatory induction sessions and are aware of local procedures and policies.

Comply with all local guidelines and instructions.

Clinical sites are primarily places of work and can be busy, sometimes stressful, environments. Respect all of those for whom your clinical learning site is their workplace, and their time and priorities when you request their assistance.

ASK if you are unsure


P. 13P. 1203 . 03 . Clinical Site Etiquette .Clinical Site Etiquette .

T H E AT R E E T I Q U E T T E & D I S C I P L I N E

You may be invited to assist during surgery, in which case you must be competent to scrub.

Ask one of the team to show you how to do this in advance and if you have not done it you must let your supervisor know this. Scrubbing guidelines (including hand washing/drying and double-gloving techniques for theatre) are in place on each site and must be strictly adhered to.

Ideally, you should attend theatre with the team to which you are attached and follow instructions from the supervising clinician at all times.

If asked to attend theatre without a staff member to bring you in, go to the theatre reception desk first. Wait there if it is not manned - do not enter the theatre complex.

Ensure your UCD student ID badge is visible

Scrubs are provided and must be returned into the linen basket after use - do not remove scrubs from the theatre complex.

‘Regular’ clothing may be worn in reception, PACU, changing rooms; all other areas require scrubs to be worn. Change into fresh theatre attire on arrival

Hair must be secured under a theatre hatWear eye protection

Wear a face mask when entering theatre & remove and discard when no longer neeeded - do not hang it around your neck

There are rarely any spare lockers so do not bring any valuables or jewellry with you

Wear well fitting cleanable shoes and use shoe covers

Do not borrow theatre shoes belongng to staff- these may be needed

Movements in and out should be restricted and excessive noise and distractions avoided

If you have open wounds / abrasions / infections you must inform your clinical supervisor before entering the theatre complex – they will advise you further


P. 15P. 1403 . 03 . Clinical Site Etiquette .Clinical Site Etiquette .

U N I V E R S A L P R E C A U T I O N S F O R T H E AV O I D A N C E O F I N F E C T I O N

Wear protective visor, mask, gloves, apron and gowns

Wear protective double gloves if scrubbed-in

You will be fully instructed in gowning, gloving and infection control practices in an Introduction to Surgery lecture which is mandatory for all students.

Follow direct instructions of lead surgeon at all times

In the event of an accidental sharps injury you must:

Immediately encourage bleeding from the wound or puncture site

1

Wash under a cold running tap, do not scrub2

Cover with a plaster or dressing3

Dispose of sharp safely4

Inform your clinical supervisor immediately (senior staff member or module coordinator) & follow all advice given. They will assist you with the following steps:

Report the incident immediately to Occupational Health & attend the Occupational Health doctor.

Complete an incident form in accordance with local hospital policy

5

I T I S YO U R R E S P O N S I B I L I T Y TO M I N I M I Z E YO U R R I S K

All students MUST attend the mandatory Infection Control Workshop run by the Clinical Skills team in the Skills Lab during the Belfield based weeks of the course. It is your responsbility to attend and to familiarise yourself with all material covered.


P. 1704 . Guiding Principles .

. G U I D I N G P R I N C I P L E S


P. 19P. 1804 . 04 .Guiding Principles . Guiding Principles .

Your clinical training in medicine may seem overwhelming at the start. There may seem to be many rules and guidelines to be followed, but it is important that you take time to become familiar with them and act accordingly. You will come to understand that while they protect patients, they also protect you from unintended upset or error and any consequences thereof.

C H O I C E

Patients contribute to your learning of their own choice. You cannot expect that a patient will engage with you because you are attached to the team, and all patients should be asked whether or not they are happy to do so before you proceed.

It is important to understand that ill patients will not always feel up to talking or being examined. In the hospital setting if they are eating, having physiotherapy or have visitors, you should return when these have finished. If patients decline (and in reality, few do) respect their wishes and, if you consider it appropriate, ask if you might return when they are feeling better. Never imply that a negative choice might impact on their care in any way - it does not- and always respect the patient’s wishes.

C O N S E N T

As a student you must ask a patients permission for history taking or examination. You should not tell a patient what you intend to do, rather explain what is involved and ask patients for their consent to do so. First, explain what you wish to do e.g. “I would like to examine your abdomen, that means you would have to lie flat for a time while I press on your tummy.” Then ask “Is that ok?” A patient may have further questions about what might be involved and may need reassurance that you will not hurt or otherwise discommode them. You should only proceed when the patient agrees. Do not be disheartened by a negative response, it is simply likely to reflect the patient’s current circumstance, so quickly choose another patient and try again. You might find it helpful to have a team member witness your interaction if you are having difficulties and always ask for feedback.

Special cases where you must never undertake an examination unsupervised

No student should perform an intimate examination - breast, vaginal, genital or rectal examination - unless directly supervised by a registrar or consultant AND the patient has given fully informed consent to the examination.

Before you approach a patient, ensure you are compliant with the clinical dress code, that your name badge is clearly displayed and WASH YOUR HANDS.

When you meet a patient, introduce yourself by name and identify yourself as a UCD Medical Student attached to the medical team caring for them.

Seeing patients as a clinical student requires that you use your initiative. This is vital to your success as a clinical student, but you must always remember that patients are not primarily in hospital to facilitate your learning, they are in hospital because they are ill. Respect for each individual patient should be the fundamental guide for everything you do as a clinical student.

Dr Suzanne DonnellyDirector of Clinical Education Remember the 3Cs of patient contact are paramount in all patient

encounters whatever the setting.

C H O I C E C O N S E N T C O N F I D E N T I A L I T Y

Take all opportunities to spend time with patients and ensure you adhere to the guidelines in this booklet and those of your supervising team, ward or clinic managers. The Medical Council guidance on “Personal and Professional Interactions” also contains very valuable advice that will help you succeed in the clinical arena.


P. 21P. 2004 . 04 . Guiding Principles .Guiding Principles .

Understand and be bound by the principle of confidentiality of patient information.

Take all reasonable precautions to ensure that any personal information concerning other students and colleagues is kept confidential.

Ensure that references to patients are anonymised if the information is to be available to those outside the clinical team, unless the patient has given permission otherwise.

Never discuss patients with other students or professionals outside the academic and/or clinical context.

Never discuss individual patients – or partners, relatives, and friends of patients – even anonymously, within earshot of the general public.

Understand that discussion in this context includes, but is not limited to, the following - the use of social networking sites e.g. Facebook, Twitter, My Space, Bebo, chat rooms, texts, emails etc.

C O N F I D E N T I A L I T Y

This is a cornerstone of the doctor patient relationship and a key professional behaviour highlighted by the Medical Council guidelines which state:

As a medical student you should:

P R A C T I C A L A D V I C E O N C O N F I D E N T I A L I T Y

When making notes for your own use eg. a case presentation you must ANONYMISE patient information and as you exit the ward or clinical site, SECURELY BIN ALL patient information, identity labels, ward census or other material you have used during the day. ONLY CLOSED WASTE DISPOSAL BINS MARKED “CONFIDENTIAL” are suitable for this purpose.

Do not use your mobile phone as a camera or recording device at any time. Sharing of any clinical material, patient data or other information which originates in the clinical site by any medium including social media is expressly forbidden and will result in disciplinary action.

CARE WHERE YOU SHARE. Discussion of patient ‘stories’ in ANY public space inside or out with the hospitals and clinical sites is expressly forbidden and reports of such will be investigated immediately.

Remember that patients may be recognisable to friends, family and neighbours by their stories, even if names are not mentioned. Buses, trains, pubs, restaurants, hospital cafes & shops, canteen queues and hospital elevators are all examples of areas where you must be particularly careful. The only completely safe option is DO NOT DISCUSS.

The ABC’s of Confidentiality:

A N O N YM I S E B I N C A R E W H E R E YO U S H A R E


P. 2305 . Clinical Learning .

. C L I N I C A L L E A R N I N G


P. 25P. 2405 . 05 . Clinical Learning .Clinical Learning .

L E A R N I N G E F F E C T I V E LY

To make the most of short rotations, get a team member to watch you as you practise your developing skills and to give you feedback on what you can do to improve.

UCD clinical tutors have been trained in giving feedback, know the standard to which you should aspire and will advise you on how to reach it.

Additionally, take every opportunity to present cases and demonstrate your skills to both staff and to your peers and be ready to learn from their comments. Every comment on your skills should help you improve. Make the most of those opportunities.

R E C O G N I S E W H E N YO U N E E D S U P P O R T

Be aware that you will likely find some aspects of clinical training to be challenging. Sad and upsetting things will happen to people you have come to know, you will realise that medical care cannot always cure and that sometimes doctors and healthcare workers make mistakes. The clinical environment can be stressful for everyone – including students. If at any time you find you are overwhelmingly affected by events or people, or if you just need to talk remember that the Belfield-based student support services are available to you, and that your tutors and clinical supervisors are likely to be able to help put perspective on your experience. A supportive network is vital for all who work in medicine and developing that amongst your classmates or the UCD medicine community is very worthwhile. Just remember to keep all discussions confidential.

Above all, remember that every patient encounter is an opportunity to develop your communication, empathy and caring skills - even if they are not explicitly listed in every module descriptor, they are key themes of the medical programme and vital for your future success as a doctor. Clinical medicine can be exciting, challenging, frustrating, stressful, upsetting and fulfilling in a single day. We are privileged - make the most of your experiences in our clinical training sites and enjoy as you do.

Where you personally know a patient under the care of your team, you should let the consultant or registrar know immediately and follow their advice.

Where a patient reveals something which you think may be relevant to their care which is not documented in the clinical notes, inform a member of the medical team and allow them to judge its importance.

Do not share “confidences” with patients.

Never present yourself as a doctor or expert adviser to a patient or their family and correct their perception that you are a doctor if necessary.

I N T E R A C T I O N S W I T H PAT I E N T S

You will find that it is usual for patients to be very obliging, most are delighted to help you learn, and much of clinical training can be very enjoyable. If you find yourself in any situation or encounter which is beyond your capabilities, you must always “ask up” for advice to a qualified team member or member of the ward staff.

Recognising the limits of your competence is a key skill of the doctor at every level of practice, it does not represent weakness and will gain you respect as a student. Some situations which may arise include:

Patients may presume that you can advise on, for example, whether or not they should take a medication. You must always point out that medical advice must come from their doctor(s).

Dr Suzanne DonnellyDirector of Clinical Education, School of Medicine UCD Consultant Rheumatologist, MMUH


P. 27P. 2605 . 05 . Clinical Learning .Clinical Learning .

In a large hospital, most of the services that you are attached to are very busy and individual attachments are relatively short. Despite this teams are keen to involve enthusiastic students. It is very important to be proactive and integrate yourself into these teams. You are expected to attend all of the team’s activities including ward rounds, out-patient clinics and multi-disciplinary team meetings.

Most teams will be on-call for at least one 24-hour period during your attachment. It is highly recommended that you would participate in this. It is an excellent opportunity for you to see patients presenting acutely with a variety of symptoms and signs. In consultation with the on-call team, you should clerk one of these patients, formulate a differential diagnosis and present to the consultant on the ward round the following day. It is very beneficial to follow your patient through their admission from their acute presentation, through diagnostic work-up and treatment to discharge.

Remember you get out of any attachment what you put into it. If you approach it in this way, you will find it not only a wonderful learning experience but thought provoking, stimulating and rewarding.

Dr Pauline JenningsClinical Tutor in Medicine

Dr Janette McGuinnessGP & Lecturer in General Practice

L E A R N I N G I N A H O S P I TA L E N V I R O N M E N T P R A C T I C A L I T I E S

Be proactive - you need to make contact with your assigned service on the first day of the attachment and arrange to meet with them. Nominate one person in the group to do this. Initially bleep the intern. If there is a difficulty contacting them, try the SHO, then the registrar. Be persistent and do not give up! If this is unsuccessful the Department of Medicine Office can assist you. Present at every opportunity as it is it an essential skill. It also plays an important part in how you will subsequently be assessed.

Be enthusiastic - involve yourself from the outset, integrate into the team and attend all of their activities including going on-call with them.

Attend Tutorials - structured teaching including Medical Professorial Unit (MPU) tutorials is also incorporated into clinical attachments. These give you the opportunity to present to members of the MPU and get feedback from them.

Be prepared – best preparation for the examinations in Clinical 1 is spending time on the wards taking comprehensive histories and examining patients and then presenting to doctors/tutors. This should be supplemented by self-directed learning. The skills acquired are essential for day-to-day clinical practice and all of your assessments from Clinical 1 through to post-graduate examinations.

You will atend GP practices during the early part of clinical one and again during the Medicine in the Community module. Primary care medicine will give you an insight into how disease impacts the patient, their families and the community. This section of the guide should help prepare you to make the most of your community placements.

In stage 4, you should spend time shadowing the GP and learning at their side, taking opportunities to practice your developing skills under their supevision where opportunities arise. In stage 5 placements, you should attempt to integrate yourself into the day to day business of the practice. You should make yourself available to help nursing staff, for example with vaccine clinics or chronic care clinics. Reception staff and practice managers will give you an insight into the business matters involved in running a practice. Be professional in all your dealings with ancillary staff and keep in mind that they are running a business and at times it may not be possible to facilitate you.

To get the most from your clinical placement in general practice we also recommend that you identify your learning needs prior to your attachment and communicate these to your respective GP tutors when contacting them. This allows them to focus their teaching on areas which will most benefit you.

• All general advice in this guide applies also to general practice settings

• Contact your GP in advance to confirm arrangements regarding starting times, meeting place and also learning needs.

L E A R N I N G M E D I C I N E I N T H E C O M M U N I T Y

I M P O R TA N T A D V I C E

• Ensure you are punctual and have researched appropriate transportation in advance.

• Dress in a professional and conservative manner in accordance with guidelines set out in this document & display your UCD Student ID at all times. White coats are not necessary in General Practice.

• Observe all guidelines for professional engagement with patients including those of choice, consent and confidentiality

• Patients may sometimes entrust students with key pieces of information or with questions which have troubled them for some time. Acknowledge the importance of the issue to the patient but do not offer your own judgements on such topics. Ensure that your tutor is aware of the issue raised.

• When working with other members of the practice staff or primary care team, observe the same high standards of professional behaviour.

• General Practice is, by its nature, unpredictable and there may be times that are quiet or when you will be not able to sit in. Please use this down time to your advantage, ensure you have reading material with you so you can research cases you have seen that day or look up medications you may be unfamiliar with.

• Most practices have internet access. Check with your GP if you are allowed to use this for medical research purposes. It is unacceptable to use a practice internet connection for personal matters unless you have the specific permission of the GP concerned. Some practices have an internet usage policy – check for this at the beginning of your attachment.


. U N I V E R S I T Y S T U D E N T S U P P O R T

S E R V I C E S

P. 29Mandatory Requirements for Clinical Sites .06 .

P. 31University Student Support Services .06 .P. 3006 . University Student Support Services .

A Guide for Students in Clinical Training . UCD School of MedicineA Guide for Students in Clinical Training . UCD School of Medicine

Even though you are no longer based in Belfield, you can continue to avail of the student support services on campus.

Full details of these services including contact numbers are available on the UCD website.

P L E A S E TA L K

Please Talk urges students to understand that talking is a strength not a weakness, and if you’re experiencing problems while at college, or in your private life, there are people there to whom you can talk.

[email protected] www.pleasetalk.ie

S T U D E N T C O U N S E L L I N G S E R V I C E

The UCD Student Counselling Service is a free and confidential service staffed by professionally qualified psychologists and counsellors.

www.ucd.ie/studentcounselling

www.ucd.ie

S T U D E N T A D V I S E R S

The Student Advisers work closely with School and other support staff. You can call to see them in relation to personal, social or practical issues. Ms Kathleen Kiely is the student adviser for our Medicine and our Biomedical, Health & Life Sciences programmes.

01 716 6632Room 2.16, UCD Health Science Centre

www.ucd.ie/studentadvisers [email protected]

C H A P L A I N C Y

The Chaplaincy offers students personal support and advice in complete confidence.

www.ucd.ie/chaplain

S T U D E N T H E A LT H C E N T R E

The Student Health Service provides on-campus medical, psychological and psychiatric care to registered students of the university.

Out of hours medical service6pm-10pm Weekdays 10am-6pm Weekends/Bank holidays

Appointments 01 716 3133

01 209 4021

www.ucd.ie/stuhealth

EastDoc

N I T E L I N E

Niteline is a confidential and anonymous listening service that is run by and for students.

Mondays 9:00pm - 1:30am Thursdays, Fridays, Saturdays and Sundays 9:00pm - 2:30am

1800 793 793 www.niteline.ie

D I S A B I L I T Y S U P P O R T S E R V I C E

If you are a student who has a disability, mental health condition, a significant ongoing illness or a specific learning difficulty, the UCD Access Centre would encourage you to register.

www.ucd.ie/openingworlds/ucdaccesscentre/supportsforstudentswithadisability

http://www.ucd.ie/studentcounselling

http://www.ucd.ie

http://www.ucd.ie/studentadvisers

http://www.ucd.ie/chaplain

http://www.ucd.ie/stuhealth

http://www.niteline.ie

http://www.ucd.ie/openingworlds/ucdaccesscentre/supportsforstudentswithadisability

http://www.ucd.ie/openingworlds/ucdaccesscentre/supportsforstudentswithadisability


P. 33Notes .P. 3206 . 07 .University Student Support Services .

The School has developed an extensive and expanding clinical training network in partnership with acute, specialist and general hospitals and the primary care sector.

O V E R V I E W O F C L I N I C A L S I T E S

Beacon Hospital www.beaconhospital.ie

Cappagh National Orthopaedic Hospital www.cappagh.ie

Children’s University Hospital, Temple Street www.cuh.ie

Coombe Women’s & Infants University Hospital www.coombe.ie

Mater Misericordiae University Hospital www.mater.ie

Mater Private Hospital www.materprivate.ie

Mullingar Regional Hospital www.hse.ie/mrhmullingar

National Maternity Hospital www.nmh.ie

National Rehabilitation Hospital www.nrh.ie

Our Lady’s Children’s Hospital, Crumlin www.olchc.ie

Approximately 150 general practitioners coordinated through the UCD Primary Care group.

A network of Radiographers across a range of Irish hospitals.

A F F I L I AT E D H O S P I TA L S

U C D P R I M A R Y C A R E N E T W O R K

U C D D I A G N O S T I C I M A G I N G C L I N I C A L T R A I N I N G N E T W O R K

Our Lady’s Hospice www.olh.ie

Royal Hospital Donnybrook www.rhd.ie

Royal Victoria Eye & Ear Hospital www.rveeh.ie

St Columcille’s Hospital Loughlinstown, Co. Dublin

St John of God Hospital www.stjohnofgodhospital.ie

St Luke’s Hospital www.stlukesnetwork.ie

St Mary’s Hospital Phoenix Park, Dublin

St Michael’s Hospital www.stmichaels.ie

St Vincent’s University Hospital www.stvincents.ie

Wexford General Hospital Newtown Rd, Co. Wexford

All information is provided as a quick reference guide & is subject to ongoing change. Please see the University, School and Hospital websites for most up-to-date details.

www.ucd.ie/medicine/lifewithus/ourcampus/clinicalcampus/

http://www.ucd.ie/medicine/lifewithus/ourcampus/clinicalcampus/


P. 35P. 34 Notes .Notes .07 . 07 .


P. 37P. 36 Notes .Notes .07 . 07 .

Mandatory Requirements for Clinical Sites .


1 . P. 38

www.ucd.ie/medicine @UCDMedicine UCDMedicine

learning on clinical sites - a guide for students in clinical training

Documents